ATI LPN
Perioperative Care Questions Quizlet Questions
Question 1 of 5
A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours. The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low. Which order by the health care provider will the nurse question?
Correct Answer: A
Rationale: Choice A as furosemide, a diuretic, would further reduce low filling pressures and renal perfusion in septic shock, where fluid resuscitation and vasopressors are needed. Increasing saline (choice B) addresses hypovolemia, hydrocortisone (choice C) supports refractory shock, and norepinephrine (choice D) maintains BP, all appropriate. This aligns with NCLEX Physiological Integrity, emphasizing the nurse's role in questioning orders that exacerbate hypoperfusion in a critically ill patient with low preload and oliguria.
Question 2 of 5
The nurse is walking a postoperative patient in the hallway when she notices a large red stain of fresh blood on the patient's gown over the abdominal incision. The patient states, 'I felt something just ripped open.' What is the priority action of the nurse?
Correct Answer: B
Rationale: Assist the patient to the floor and call for assistance,' as a large blood stain and ripping sensation suggest dehiscence or evisceration an emergency. Lowering the patient reduces abdominal tension, preventing further damage, while calling for help ensures rapid team response. 'Assess incision' (A) delays stabilization and risks exposure. 'Irrigate wound' (C) is inappropriate without medical orders during transit. 'Check vitals' (D) is secondary to immediate safety. In nursing, prioritizing life-threatening scenarios (e.g., organ protrusion) is critical; B aligns with NCLEX Physiological Adaptation and Safety, focusing on urgent action over assessment or premature interventions.
Question 3 of 5
The nurse is teaching a client about coughing and deep-breathing techniques to prevent postoperative complications. Which statement is most appropriate for the nurse to make to the client at this time as it relates to these techniques?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse, 'Will the doctor put me to sleep with a mask over my face?' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A drug may be given to you through your IV line first. I will check with the anesthesia care provider,' as it's accurate IV induction is common, but inhalation via mask or tube is possible and defers to the anesthesia expert. 'Surgeon decides' (B) is wrong anesthesia staff choose. 'No mask' (C) and 'masks obsolete' (D) overgeneralize inhalation options exist. In nursing, honest, precise communication reassures; A aligns with NCLEX Physiological Integrity, ensuring patient education and collaboration.
Question 5 of 5
The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening. When documenting this finding, which term will the nurse use?
Correct Answer: C
Rationale: Wound evisceration,' as it describes a severe complication where the wound separates and internal organs (e.g., bowel) protrude unlike 'dehiscence' (B), which is separation without protrusion. 'Infection' (A) involves pus or redness, not organ exposure. 'Tunneling' (D) is a wound tract, not evisceration. In nursing, accurate documentation guides urgent intervention (e.g., sterile coverage, surgery); C aligns with NCLEX Perioperative, reflecting a critical postoperative emergency over less severe conditions.